[0001] The present invention generally relates to processes and methods for producing, isolating,
and using radiochemicals. More specifically, the methods and processes of this invention
are directed to the preparation of Actinium-225 and daughters having high radiochemical
and radionuclidic purity, which may be used for the preparation of alpha-emitting
radiopharmaceuticals, in particular, for linkage to therapeutics such as those containing
monoclonal antibodies, proteins, peptides, antisense, statin, natural products and
hormones. The alpha-emitting radionuclide Actinium-225 and daughters can be used for
both therapeutic and diagnostic purposes.
[0002] After cardiovascular disease, cancer is the second leading cause of death in the
United States, accounting for one-fifth of the total mortality. Lung, prostate, and
colorectal cancer are the leading cancers in men, and women are most frequently plagued
by breast, lung and colorectal cancer.
[0003] Surgical removal is a frequently used therapeutic approach to treatment, but it is,
obviously, invasive. Chemotherapy and radiotherapy have the advantage of being non-invasive,
but have the potential disadvantage of being too non-specific. That is, killing of
cancer cells is obtained with good success, yet the collateral damage can be serious.
In fact, collateral damage is the major side effect of these approaches, and is often
the reason patients choose to forego chemotherapy and radiotherapy in favor of surgery.
[0004] Generally, these systemic methods rely on differences between the cancer cells and
the normal cells for targeting. For example, cancer cells proliferate at a faster
rate than normal cells, and this difference has been exploited. The greater rate of
proliferation results in a greater rate of uptake of toxic substances, as compared
to the rate of uptake for normal cells. Thus, where cell toxins are introduced systemically,
cancer cells take up the toxins more rapidly than normal cells, and are thereby killed
to a greater extent. Obviously, this is not ideal, as any normal cell death is highly
undesirable. However, the killing of normal cells by cancer therapeutic agents is
a very real side effect, and as mentioned above, is a major reason patients forgo
such therapy.
[0005] A number of methods have been used with success to increase the specificity of cancer
targeting. These methods frequently take advantage of a some other difference between
the cancer cells.and the normal cells. Differences that have been exploited with good
success are the structural differences between cancer cells and normal cells. These
structural differences include cell surface antigens, receptors, or other surface
proteins or molecules that are differentially expressed between the types of cells.
Any such difference may be exploited.
[0006] For example, many tumor cells have an increased number of certain cell surface antigens
as compared to normal cells. Targeting agents such as monoclonal antibodies may be
used to specifically target and bind to the cell surface antigens on the tumor cells,
resulting in the localization and internalization of the therapeutic agents. Specifically,
for example, monoclonal antibodies such as the anti-gp160 antibody for human lung
cancer (
see Sugiyama et al., "Selective Growth Inhibition of Human Lung Cancer Cell Lines Bearing
a Surface Glycoprotein gp160 by 125I-Labeled Anti-gp160 Monoclonal Antibody," Cancer
Res. 48:2768-2773 (1988), a "FNT-1" monoclonal antibody for human cervical carcinoma (
see Chen et al., "Tumor Necrosis Treatment of ME-180 Human Cervical Carcinoma Model with
131I-Labeled TNT-1 Monoclonal Antibody," Cancer Res. (1989) Aug 15;49(16):4578-85), and antibodies against the epidermal growth factor receptor for KB carcinoma (see
Aboud-Pirak et al., "Efficacy of Antibodies to Epidermal Growth Factor Receptor Against
KB Carcinoma In Vitro and in Nude Mice," J. National Cancer Institute 80(20):1605-1611
(1988) have been used to specifically localize tumor cells.
[0007] various radiotherapeutic agents have also been utilized to kill tumor cells including,
for example, the beta-emitters Iodine-131, Copper-67, Rhenium-186, and Yttrium-90.
Beta-emitters, however, are disadvantageous because of their low specific activity,
low linear energy transfer, low dose rates (allowing for cell repair of radiation
damage), damage to surrounding normal tissues, and in some cases the lack of an associated
imageable photon (e.g., Yttrium-90).
[0008] Alpha-emitting radionuclides are much more appropriate toxins and have the potential
to more effectively treat disease. Unlike conventional systemic radiation therapy
utilizing a gamma-emitter, in cell-directed radiation therapy, targeting agents seek
out and attach a radioisotope to targeted cancer cells. The selective cytotoxicity
offered by alpha-particle-emitting radionuclide constructs is a result of the high
linear energy transfer, at least 100 times more powerful than that delivered by beta-emitting
radionuclides, short particle path length (50-80 micrometers), and limited ability
of cells to repair damage to DNA.
[0009] Because the radiation of alpha-emitting radionuclides only penetrates a few cell
lengths in depth, there is much less of the collateral damage to healthy tissues and
cells common to chemotherapy and beta- and gamma-emitting radionuclides used for radionuclide
therapy. The short penetration distance allows for precise targeting of the cancer
cells. Alpha-emitting radionuclides are among the most potent cytotoxic agents known
and appear safe in human use.
[0010] For example, beta-emitting Iodine-131 (8.02-day half-life) is used for the treatment
of non-Hodgkin's Lymphoma, thyroid carcinoma, and other cancers. While the iodine
preferentially localizes in the thyroid tissue, this treatment is still problematic
because the radionuclide penetrates the tissue to a depth of 10 mm and can cause collateral
damage to healthy tissues and cells. When given in sufficient doses to kill cancer
cells (up to 600 millicuries), Iodine-131 can impair or destroy bone marrow in patients,
necessitating a marrow transplant. This is a very dangerous and painful process. Another
beta-particle-emitting radioisotope utilized for radionuclide constructs is Yttrium-90,
which because of its high energy levels, also deeply penetrates human tissue and can
cause collateral damage to healthy cells or organs.
[0011] Actinium-225, Bismuth-212, Lead-212, Fermium-255, Terbium-149, Radium-223, Bismuth-213
and Astatine-211 are all alpha-emitting radionuclides that have been proposed for
radionuclide therapy. Of these radionuclides, Actinium-225 (5.8 MeV alpha-emitter
with a 10-day half-life) and its daughter, Bismuth-213 (46-minute half-life) may be
the most efficacious. Alpha-emitting Astatine-211 also has been proposed as an appropriate
alpha-emitting medical radionuclide, but would be less useful due to its short half-life
(7.21 hours), which could create distribution problems.
[0012] Bismuth-213 has a shorter half-life than Actinium-225, but its physical and biochemical
characteristics, its production, and its radiopharmacological characteristics, make
it a good candidate for use in humans. Dr. Otto Gansow pioneered the development of
alpha radioimmunotherapy, developing the linkers used to bind the monoclonal antibody
to radiobismuth. (See
U.S. Patent Nos. 4,923,985,
5,286,850,
5,124,471,
5,428,154 and
5,434,287 to Gansow et al.) The alpha-emitting radioisotope Bismuth-213, in conjunction with targeting molecules,
is showing promise in clinical trials using Bismuth-213 in alpha-radioimmunotherapy.
[0013] Bismuth-213 is currently being evaluated in a clinical trial for treatment of Acute
Myeloblastic Leukemia (AML) and could have the potential for treatment of a range
of diseases including T-Cell leukemia, non-Hodgkins lymphoma, the micrometastases
associated with a range of diseases including prostate cancer, and other diseases.
It has been found that Bismuth-213 could be used to halt the arteriole growth that
feeds solid tumors and lung cancers. This therapy, currently used for the treatment
of liquid tumors, such as leukemia, may also be useful in patients to treat solid
tumors and certain other diseases, immune disorders, rheumatoid arthritis, degenerative
joint diseases, and other disorders such as Kaposi's sarcoma, an AIDS-related infectious
disease. Cell-directed radiation therapy, utilizing powerful alpha-emitters for precise
targeting of cancer cells, has the potential to minimize the adverse side effects
associated with traditional chemotherapy or standard radiation treatments (nausea,
hair loss, constipation, dry mouth, insomnia, and vomiting), potentially resulting
in a preferred alternative form of disease management. Patients could be treated on
an outpatient basis and the doses required would be much less than those for a beta-emitter.
[0014] Some methods for producing Actinium-225 are very dangerous, and have low yields.
Using one method, Actinium-225 has been produced by the U.S. Department of Energy
by extraction from long-lived (7,300 year half-life) Thorium-229. Thorium-229 is very
carefully extracted in minute quantities from fissile Uranium-233, a nuclear weapons
grade material produced 20-30 years ago during the Cold War from natural Thorium.
For example, 5 kilograms of Uranium-233 (enough to produce 1 atomic bomb) yields only
0.5 grams of Thorium-229, or 0.1 Curies. This is only enough to treat about 10 patients.
This very costly production technology, utilizing a Thorium-229 "cow" as an Actinium-225
generator, results in low yields of Actinium-225 because the supply of old Thorium-229
and Uranium-233 containing the extractable Thorium-229 is limited.
[0015] Even if all of the recoverable Thorium-229 in the United States that could be extracted
from existing stocks of Uranium-233 were utilized, only a small amount of Actinium-225,
estimated at no more than 3 curies, could be produced each month. This quantity of
radionuclide is insufficient for even a number of small clinical trials and would
only enable the treatment of a handful of patients who could afford the current high
price charged by the U.S. Department of Energy for this radioisotope. The quantity
of radioisotope required would cost in the tens of thousands of dollars.
[0016] U.S. Patent No. 5,355,394 discloses another method for the production of effective amounts of Actinium-225
and Bismuth-213 by a very high thermal neutron flux in a nuclear reactor. However,
according to the patent, years of continuous irradiation of Radium-226 in a large
nuclear reactor would be necessary to produce effective amounts of Thorium-229 starting
material. Thus, this process would be very slow. Another disadvantage of this production
technique is that large quantities of inseparable Thorium-228 will also be produced.
[0017] This undesirable radioisotope, Thorium-228, though shorter lived, is a powerful,
deeply penetrating gamma-emitter that can cause collateral damage to healthy tissues
and would require a costly "hot cell," isolation of the patient, and considerable
shielding at the medical facility where it is utilized. The Thorium-228 and 229 radioisotopes
would be intimately mixed together, and it would require about 20 years in storage
to decay out the Thorium-228. This would require considerable lead shielding wherever
used, and would generate a great deal of radioactive waste and radon gas.
[0018] In
U.S. Patent No. 5,457,323, another method is disclosed for production of Actinium-225. This method produces
radon gas, a long-lived radioactive gas, which is difficult and expensive to dispose
of.
[0019] WO 99/63550 discloses another method for producing Actinium-225 from Radium-226, which involves
irradiating Radium-226 with protons to produce Actinium-225. A major drawback of this
method, however, is the need for a cyclotron for accelerating protons.
[0020] Thus, the major problem confronting clinicians and researchers around the world desiring
to use the powerful, short lived radionuclide Actinium-225 and its Bismuth-213 daughter
for treatment of cancers and other diseases is the extremely limited availability
of Actinium-225 in quantities sufficient to use in clinics and for research. In addition,
because of the high cost of the radionuclide, its widespread use is not currently
feasible.
[0021] There is, therefore, a need in the art for new methods of production of Actinium-225.
[0022] This invention provides a method for the ample production of Actinium-225. Materials
manufactured according to the invention are particularly useful in radioimmunotherapy
to treat cancers, metastases, and micrometastases distant from the primary site.
[0023] The invention also provides a method for producing Actinium-225 at levels appropriate
for commercial sales, either as a precursor, a labeled pharmaceutical, or as a coating.
[0024] The present invention provides a cost-effective method of producing large quantities
of Actinium-225 which is safe and dependable, and that does not generate appreciable
quantities of radioactive waste. The method also produces Actinium-225 with consistent
radiochemical and radionuclidic purity.
[0025] This invention provides a reliable method for obtaining greater than 1000-millicurie
quantities of Actinium-225/Bismuth-213 in < 5-µCi Radium-225/100 µCi Actinium-225
radionuclide purity via bombardment of Radium-226. The Actinium-225/Bismuth-213 has
physical properties that are useful for diagnostic and therapeutic radiopharmaceuticals,
particularly when used for radioimmunotherapy.
[0026] The features and advantages of the present invention are provided by specific embodiments
of the present invention. Such embodiments include methods of producing an isotope
comprising directing electrons at a converting material coated with a coating material,
the coating material having an atomic number of n; whereby interaction of the electrons
with the converting material produces photons, and whereby the photons produced interact
with the coating material to produce an isotope having an atomic number of n-1, wherein
n is 226, and the coating material has an atomic number of n is Radium-226. In this
embodiment, n-1 is 225, and the isotope having an atomic number of n-1 is Radium-225.
The converting material may comprise Copper, Tungsten, Platinum and/or Tantalum. The
converting material may be coated with the coating material using an electroplating
procedure. The converting material may be electroplated with Nickel before being electroplated
with Radium-226. Alternatively, the converting material may be electroplated with
Nickel and Radium-226 simultaneously. The Radium-226 may be coated onto the converting
material at a concentration of from about 80 mg/cm
2 to about 160 mg/cm
2.
[0027] In a method of the present invention, the electrons may be directed at the converting
material coated with the coating material using an electron accelerator, wherein the
electrons are in a beam. The converting material may have a thickness of from about
0.5 mm to about 1.7 mm, and the electron beam may have a current of from about 100
microampere to about 1000 microampere. The electrons may have an energy of from about
20 MeV to about 25 MeV, and the photons may have an energy of from about 10 MeV to
about 25 MeV.
[0028] A method of the present invention may further include separating Actinium-225 from
Radium-225 and Radium-226 using a chemical separation process.
[0029] One method of the present invention involves producing an isotope comprising directing
electrons at a Tungsten plate that is electroplated with Radium-226, whereby interaction
of the electrons with the Tungsten produces photons, and whereby the photons produced
interact with the Radium-226 to produce Radium-225.
[0030] The present invention also provides a metal plate coated with mixture of Radium-226
and Radium-225 and Actinium-225. The metal plate may be selected from Tungsten, Tantalum,
Platinum, and Copper.
[0031] Other advantages and features of this invention will become apparent to those skilled
in the art after reviewing the following technical description and additional embodiments
of the present invention set forth below.
Figure 1: Production activities of Radium-225 and Actinium-225 are shown as a function of irradiation
time for a 1.0 g Radium-226 target and a 25MeV electron beam.
Figure 2: Gamma flux/spectra produced by both 20 MeV and 25 MeV electrons are shown as a function
of energy (MeV). This curve is calculated from the data in Table 1.
Figure 3: The Radium-226 (gamma,n) cross section curve is shown as a function of energy (MeV).
Figure 4: The radioactive decay of Uranium-233 to Actinium-225 and Bismuth-213 is illustrated.
[0032] The present invention is directed to the production of radiochemicals. In particular,
the invention is directed to the production of Actinium-225 using Radium-226 as a
starting material. The invention generally involves irradiating Radium-226, to produce
Radium-225, which then undergoes a beta decay to Actinium-225. Actinium-225 can be
used to produce its daughter, Bismuth-213. The Actinium-225 product of the present
invention may be produced in an amount of about 5 mCi Radium-225 per 100 mCi Actinium-225.
[0033] It should be noted that the present invention involves the use of Radium-226, which
is the naturally occurring isotope of Radium, having a half-life of 1600 years. Thus,
when the term Radium-226 is used throughout the specification, it may be considered
that Radium having a natural isotopic abundance is being used. Thus, reference to
Radium-226 as a starting material is not meant to imply an isotopically pure form
of Radium-226.
A. Preparation of Radionuclides
1. Actinium-225
[0034] The invention generally involves the conversion of Radium-226 to Radium-225, using
high-energy photons to drive the conversion. This reaction can be described as a photodisintegration
reaction. Radium-225 decays to Actinium-225, which is then separated using a chemical
separation process.
a. Theory
[0035] The reaction for the conversion of Radium-226 to Radium-225 is a photodisintegration
reaction, where absorption of high-energy electromagnetic radiation in the form of
gamma-ray photons causes a Radium-226 nucleus to eject a neutron, resulting in the
formation of Radium-225. This reaction will be referred to herein as a "gamma,n" or
"γ,n" reaction, where "n" refers to the neutron ejected.
[0036] The high-energy photons are generated by bombarding a converting material with high-energy
electrons. The converting material is a material that gives off high-energy photons
upon bombardment, and it should be a material that is refractory to the electron bombardment.
Examples of such materials include Tungsten, Tantalum, Platinum, and Copper.
[0037] The high-energy electrons used to bombard the converting material need to be of sufficient
energy so that the photons produced are of sufficient energy to drive the photodisintegration
reaction. The energy necessary for the photodisintegration is an energy level that
is at least equal to the threshold (minimum) energy level of the giant resonance region
of the cross-section versus energy curve for the isotopic conversion reaction. (Giant
resonances are the energy average of the compound nucleus resonances of the compound
system. These resonances have widths on the order of 1 MeV, and can be derived from
the Kapur-Peierls theory of the scattering of a single neutron by a potential.) This
is the energy necessary to produce the desired reaction between a photon and the Radium-226.
[0038] The intensity of high-energy photons generated by the converting material is proportional
to the power density (PD) of the electron beam in the converting material. Power density
is calculated according to the following equation:

where E is the energy of the electron beam, i is the current of the electron beam,
and V is the volume of convertor through which the electron beam passes.
[0039] While the minimum energy is governed by the threshold energy level of the giant resonance
region, the maximum energy is governed by the converting material. That is, the converting
material is going limit the energy which can be put into the system. For example,
the energy of the high-energy electrons should be balanced against the ability of
the converting material to absorb the energy. The energy of the beam should be sufficient
to generate photon energy in a range suitable to convert the isotope, yet not be so
great that a large percentage of electron beam energy passes through the converting
material.
[0040] Similarly, if the converting material is too thick, photons will be degraded as they
pass through the material. Thus, the preferred thickness of the converting material
depends on the electron beam energy, the composition of the converting material, and
the giant resonance region threshold energy of Radium-226.
b. Preparation of a Solid Target
[0041] In the invention, the Radium-226 is coated onto the converting material. Thus, as
the converting material is bombarded with high-energy electrons, high-energy photons
are produced. The high-energy photons then impact the-Radium-226 coating on the converting
material.
i. Converting Material
[0042] In the method of the present invention, the converting material serves the role of
converting high-energy electrons into high-energy photons. Thus, any material which
has this capacity may be used for this purpose, provided that Radium-226 may be coated
onto it. Such materials are described as "convertor" materials in
U.S. Patent No. 5,949,836, to Lidsky et al.
[0043] The converting material may be any material that exhibits the desired converting
properties, is relatively refractory to the process, and may be electroplated. The
converting material may have an atomic number higher than about 30. Examples of converting
materials include, but are not limited to, Copper, Tungsten, Platinum and Tantalum.
The converting material may be a metal plate, which may be milled, lapped, sanded,
washed with distilled water, and dried. The converting material generally will have
a thickness of from about 0.5 mm to about 1.7 mm, or a thickness of from about 0.8
mm to about 1.2 mm, or about 1 mm.
ii. Coating a Converting Material with Radium-226
[0044] As noted above, the converting material is coated with the radioisotope Radium-226,
for the reaction. This coating may be performed by electroplating of the radioisotope
onto the converting material. The radioisotope coated onto the coating material comprises
Radium-226, which forms Radium-226 dioxide upon exposure to air.
[0045] Electroplating of Radium-226 onto the converting material may be performed using
a Platinum electrode, although other types of electrodes may be used. Thus, electroplating
may be performed using a Platinum electrode in a Radium-226 solution, which may be
prepared by dissolving Radium-226 in a basic alkali metal hydroxide solution. Examples
of alkali metal hydroxides include, but are not limited to, sodium hydroxide and potassium
hydroxide.
[0046] In an alternative embodiment, an electroplating metal substrate (converting material),
such as a Copper, Tungsten, or Tantalum plate, is placed into a nickel-plating solution
and the metal substrate is electroplated with nickel. Nickel-plating may be performed
using a Watts nickel bath procedure. Briefly, this technique involves operating at
a temperature of about 30-60°C, usually with air agitation, and at a pH of about 3.5
to 5.0. Current density is usually from about 2 to 7 A/dm
2. The bath composition includes nickel chloride (40-60 g/l), nickel sulfate (240-300
g/l), and boric acid (25-40 g/l). Alternatively, the nickel plating may be performed
using the method described by
Yoda et al., in U.S. Patent No. 5,985,124.
[0047] The resulting nickel-plated substrate is then placed into a Radium-226 dioxide plating
solution and electroplated with Radium-226. This procedure is described briefly as
follows.
[0048] Sufficient Radium-226 is dissolved in 8 molar HNO
3 to form a 0.1 M Radium-226 solution. Cells for electroplating are constructed according
to Krishnaswami and Sarin, (
Krishnaswami, S., and M. M. Sarin (1976), Anal. Chim. Acta, 83, 143-156). A teflon stir bar is placed in the electroplating device. Limiting values of the
power supply are set to 6 V and 0.8 A.
[0049] The device is placed on a stir plate in a fume hood. Stirring is started, and the
power supply is current limited to 0.8 A. When sufficient plating has occurred, the
plating should be terminated by disconnecting the power and adding concentrated ammonia.
The electroplated target should be rinsed with distilled water and dried before proceeding.
[0050] Alternatively, the converting material may be placed into a plating solution containing
both nickel and Radium-226. The nickel and Radium-226 are then electroplated onto
the converting material.
[0051] In another embodiment, Radium Bromide or Radium Oxide may be mixed in a varnish and
painted onto the converting material plate, using processes developed for production
of Radium watch dials. In still other embodiments, the Radium may be plated onto the
converting material using a method described by Chan et al. in
U.S. Patent No. 6,103,295, "Method of affixing radioisotopes onto a surface of a device."
[0052] Regardless of the process chosen, the Radium-226 may be coated onto the substrate
until a concentration of at least about 80 mg/cm
2 is achieved. In fact, the concentration of Radium-226 may range from about 80 mg/cm
2 to about 160 mg/cm
2. However, the concentration may be lower or higher, depending on other factors, including
energy of the electron beam.
[0053] The coating may be performed in a manner that leaves a portion of the converting
material exposed for contact with the electron beam. This may be achieved by pouring
a spot of molten plastic having a high melting point onto the plate, and allowing
it to harden prior to immersing the plate in the bath. The electroplating will then
take place around the plastic spot. The plastic spot can be later removed, leaving
an uncoated portion.
[0054] Regardless of how the Radium-226 target is prepared, the Radium-226-coated converting
material is ready for irradiation in accordance with the invention.
c. Preparation of a Liquid Target
[0055] In another embodiment, Radium-226 in solution may be converted using the present
invention. The Radium-226 solution may comprise Radium-226 chloride, and may be in
a concentration of from about 0.5 to about 1.5 molar, or about 0.75 to about 1.25
molar, or about 1 molar. In this embodiment, the solution of Radium-226 may be contained
or uncontained.
[0056] For example, an uncontained solution of Radium-226 may be flowed over a converting
material. Samples of the material flowing off the converting material may be regularly
sampled, and the solution may be recycled until sufficient product is produced.
[0057] A target solution of Radium-226 may also be used in a contained form. For example,
a solution of Radium-226 may be placed in a quartz vial. The solution may be stirred
or unstirred. A beam of electrons is then targeted at a converting material, and the
photons produced thereby are targeted at the quartz vial of Radium-226 solution. In
this manner, a photodisintegration reaction occurs.
[0058] There are a number of advantages to the use of a liquid target. In particular, it
is advantageous that the product is already in solution. That is, a separate step
for isolating solid product from solid reactant is not necessary. In this embodiment,
the product may easily be separated by chromatographic separation. Steps for such
separation are detailed below.
d. Electron Bombardment
[0059] Irradiating of the target is performed using an electron beam, which may be provided
by an electron accelerator, and in particular, a linear accelerator.
[0060] For a converting material having thickness of about 1 mm, the electron beam that
is used should have a current of from about 100 to about 1000 microampere. Alternatively,
the current may range from about 250 to about 750 microampere, and may be about 500
microampere. The electron beam may be continuous energy, or may be pulsed.
[0061] Usually, the energy of the electron beam is about 2 to 3 times the energy level of
the peak of the giant resonance region of the targeted isotope. For example, for the
(gamma,n) isotopic conversion of Radium-226 to Radium-225, a significant portion of
the of high-energy photons will have energy levels falling within the giant resonance
region for this reaction, specifically from about 10 MeV to about 25 MeV, or about
15 MeV. Thus, the electron energy that impacts the converting material is from about
20 MeV to about 25 MeV.
[0062] The high-energy electron bombardment is performed for a period of time sufficient
to obtain the desired quantities of product. Generally, that period is from about
10 days to about 30 days, or from about 18 days to about 23 days. In one embodiment,
the bombardment period is about 20 days. However, the period is dependent on a number
of factors, including the electron beam energy (higher energy - less time; less energy
- more time), the converting material (greater production of photons - less time;
fewer photons - more time), the thickness of the converting material (too thin - electrons
pass through - inefficient conversion - more time; too thick - photons not efficiently
produced - more time), and the concentration of the coating material (less material
to photodisintegrate - less time; more material - more time).
[0063] Ideally, the period should not be excessively long. Therefore, the efficiency of
the reaction should be maximized to shorten the reaction. As a general rule, which
may be applied to the production of other radioisotopes, the reaction should proceed
for a period of time that is about 3 times the half-life of the product, or to approximately
80-90% of the maximum production capacity.
[0064] Generally, one consideration is that the conversion of high-energy electrons into
high-energy photons creates a great deal of heat in the converting material. The heat
generated can be so great as to limit the rate the reaction can be performed. Thus,
one can optionally include a mechanism for cooling the target, i.e., the coated converting
material, during the reaction.
[0065] The cooling mechanism may rely on radiative, conductive, or convective dissipation
of the heat, and the mechanism may allow dissipation in, around, or through the target.
Thus, for example, the target may be formed with channels therein, to allow passage
of a coolant through the target; it may be solid, with coolant surrounding; or the
target may be porous, to allow the coolant to flow into the interstices of the target.
Suitable fluid coolants include liquids, such as water, or liquid gallium, and gases,
such as helium.
[0066] Liquid targets may be cooled by freezing prior to bombardment, or may be cooled by
having a cooling coil submersed in or adjacent to the liquid target. Alternatively,
the liquid target may be circulated through a cooling apparatus, such as heat exchanger.
In still other embodiments, a liquid target is cascaded over a cooled converting material,
which is bombarded by electrons.
e. Separation of Products from Reactants
[0067] Radium-225 decays by emission of a beta particle to Actinium-225. When sufficient
Actinium-225 is produced by decay, it may be separated from the other materials by
chemical separation techniques.
[0068] In one embodiment, the irradiated Radium-226 and Radium-225 are dissolved from the
target plate by means of an alkali metal hydroxide solution, such as sodium hydroxide
solution (5 M), containing equal volumes of 30% H
2O
2, plus sufficient de-ionized H
2O to cover the target. Following dissolution, the solution containing the dissolved
materials is then transferred to a vessel containing aluminum powder and then optionally
purged with air. The Actinium-225 may then be chemically isolated and separated from
the target. For example, after the final volume is adjusted to specific needs, the
Actinium-225 is passed through a fine glass filter. The precipitated Radium-225 is
retained in the filter.
[0069] In some embodiments, all of the Radium and Actinium bound to the converting material
is dissolved at once. This leaves a solution of both Actinium and Radium which must
be separated. A liquid target would also be in this form, i.e., with a combination
of dissolved Actinium and Radium.
[0070] Briefly, the Actinium/Radium separation process involves dissolving a (dried) sample
containing Actinium-225 and Radium-225 in 0.03M HNO
3. The dissolved sample is passed over an ion exchange column designed for separating
radiochemicals, for example, an LN
® resin column (Eichrom Industries, Inc., Darien, Ill.). Radium-225 and Radium-226
pass through with the effluent, and remaining Radium can be additionally washed from
the column with 0.03M HNO
3. Bound Actinium-225 is eluted from the column with 0.35M HNO
3. Of course, although a column is described here, the method would be applicable to
batch, or other methods as well.
[0071] In another alternative, separation of Actinium-225 from Radium-226 and Radium-225
may be achieved by crystallization of Radium Nitrate, wherein the supernatant contains
the soluble Actinium. For example, Actinium possesses the same 2s,1d outer electron
structure as Lanthanum and Yttrium. It possesses a slightly larger ionic radius than
Lanthanum; otherwise its chemistry is very similar. The basis for Actinium-225 separation
from Radium is an anion separation in which the HNO
3 concentration of the Radium feed is adjusted to 5 M and Radium is loaded onto an
ion resin column. Trivalent Iron, Chromium, and all divalent and monovalent ions pass
through. The Actinium-225 follows with a slight delay. The Actinium-225 is collected
separately from the contaminants. The Radium-225 and Radium-226 is stripped from the
column with 0.35 M HNO
3 and is retained for reuse in target fabrication.
[0072] Isolated Actinium-225 may then be purified by an oxalate precipitation followed by
cation exchange. Briefly, the Actinium-225 is precipitated as an oxalate by the addition
of an oxalic acid solution. Filtration is performed and the supernatant discarded.
Oxalates are then destroyed by boiling concentrated HNO
3 and HClO
4, taking to fumes of HClO
4. The Actinium-225 is then taken up in 2 M HCl and loaded on a cation exchange column.
The column is washed with 1 bed volume of HCl. Any remaining divalent ions are eluted
with 3 bed volumes of 3 M HNO
3. Actinium is eluted with 5 bed volumes of 6 M HNO
3.
2. Bismuth-213
a. Theory
[0074] As Bismuth-213 is considered a "daughter" of Actinium-225, it also may be produced
in accordance with the present invention. The radioactive decay chain in which Bismuth-213
is found is well known: Uranium-233 (t
1/2 =1.62x10
5 yr)→Thorium-229 (t
1/2 =7,300 yr)→Radium-225 (t
1/2 =14.8 day)→Actinium-225 (t
1/2 =10 day)→Bismuth-213 (t
1/2 =46 min). Figure 4 shows the complete decay chain of Uranium-233 to Actinium-225
to Bismuth-213.
b. Elution, Separation and Purification
[0075] Bismuth-213 may be produced through the radioactive decay of Actinium, using Actinium
as a "cow." Bismuth-213 produced may be separated through the use of an organic anion
exchange resin to adsorb Bismuth-213 from other materials present. The ability to
extract bismuth as an anion as a function of HCl concentration is well known and is
described in
Kraus, K. A. and F. Nelson, 1955, Proceedings of the International Conference on the
Peaceful Uses of Atomic Energy, Nuclear Chemistry and the Effect of Irradiation, Vol.
VII, P/837, "Adsorption of the elements from hydrochloric acid," held in Geneva, Aug.
8-20, 1955.
[0076] The distribution for the bismuth chloride complex anion in HCl increases with decreasing
acid concentration. Other chelator interfering ions of interest, i.e., rare earths,
Radium and Actinium, do not extract as chloride anions using anion exchange resin.
Therefore, the use of the anion exchange resin allows Bismuth-213 to be effectively
removed from these and other ions which do not extract as chloride anions using an
anion exchange resin.
[0077] The separation of Bismuth-213 from other materials is described, for example, in
U.S. Patent No. 5,749,042, to Bray et al.; in "
An improved Generator for the Production of Bi-213," by Wu et al., American Chemical
Society Meeting (1996); and in "
Generator System Development of Ra-223, Bi-212, and Bi-214 Therapeutic Alpha-Emitting
Radionuclides," by Ramirez et al., American Chemical Society Meeting (1996).
B. Use of Radionuclides Produced According to the Invention
[0078] Actinium-225 produced in accordance with this invention is produced in sufficient
production yield and radiochemical and radionuclidic purity that it is especially
suited to a number of uses. For example, it is especially suited for medical uses,
including, but not limited to, radioimmunotherapy, radiation therapy and for the detection
of metastatic disease, such as with an intraoperative probe for detection of occult
cancers. Medical applications for the radionuclides of the present invention include
their use in radiopharmaceuticals and/or radiochemicals, as those terms are known
in the art. Non-medical uses include the use as a standard, or as a tracer.
1. Use Alone (in "neat" form)
[0079] In medical uses, the radionuclide may be used alone, or it may be linked to another
material. Examples of applications in which the radionuclide is used alone include
medical imaging, radiation synovectomy, etc.
[0080] For example, Actinium-225, Bismuth-213, or mixtures thereof can be incorporated into
a hydrogel. The alpha-emitting radioactive gel may be infused internally for treatment
of sarcomas, carcinomas and prostate disease, or may be used for external treatment
of Kaposi's Sarcoma, or other diseases. Actinium-225, Bismuth-213, or mixtures thereof
can also be combined with compounds that are not targeted at specific cells, such
as styrenes, or styrene polymers, acrylic polymers, biodegradable, or bioerodable
materials such as hydrogels, or other products that can be formed into a colloidal
dispersion or particulate form and may then used for radiation synovectomy.
[0081] By incorporating releasable therapeutic drugs in a radioactive polymer or gel, this
invention also aims to provide for the optimization of post-procedure management to
improve the efficacy and safety of patient treatment.
a. Preparation of a Pharmaceutical Composition
[0082] Generally, the preparation of the radionuclide pharmaceutical preparation will depend
on the route of administration and the condition being treated. However, general guidelines
are presented here. These guidelines are equally applicable for radionuclides complexed
with targeting molecules, described below.
[0083] Examples of pharmaceutical compositions include a radionuclide, or chelated radionuclide,
or a chelated radionuclide attached to a targeting molecule, in some embodiments by
a linker, or any other composition including a radionuclide of the present invention,
along with a pharmaceutically acceptable carrier, diluent, excipient, or vehicle.
Suitable pharmaceutically acceptable carriers, diluents, excipients, and vehicles
include, but are not limited to, neutral buffered saline or saline. Additionally,
the pharmaceutical composition may contain other constituents, including for example
buffers, carbohydrates such as glucose, sucrose, or dextrose, preservatives, as well
as other stabilizers or excipients.
[0084] Methods for preparing such formulations are well known. A formulation may be in the
form of a suspension, injectable solution or other suitable formulation. Physiologically
acceptable suspending media, with or without adjuvants, may be used. The formulations
of the present invention are in the solid or liquid form containing the active radionuclide,
and optionally the chelator/linker/targeting agent. These formulations may be in kit
form such that the two components (i.e. chelator, radionuclide, linker, and targeting
agent) are mixed at the appropriate time prior to use. Whether premixed or as a kit,
the formulations may include a pharmaceutically acceptable carrier.
[0085] Other examples of kits include kits for incorporating Actinium-225, Bismuth-213,
or mixtures thereof into a steroid group, an aryl group, a substituted aryl group,
a vinyl group, an isothiocyanate, or an isocyanate group capable of coupling with
antibodies. Similarly, Actinium-225, Bismuth-213, or mixtures thereof can be incorporated
into an aromatic amine, an aromatic isocyanate, an aromatic carboxylic acid, an aromatic
isothiocyanate, benzoic acid, a substituted benzoic acid group, or a vinylestradial
group. Any person could make use of such a kit, including a researcher, a pharmacist,
a doctor, or even the end user, the patient.
[0086] For injectable compositions, the present invention may be either in suspension or
solution form. In solution form the complex (or when desired the separate components)
is dissolved in a physiologically acceptable carrier. Such carriers generally comprise
a suitable solvent, preservatives such as benzyl alcohol, if needed, and buffers.
Useful solvents include, for example, water, aqueous alcohols, glycols, and phosphonate
or carbonate esters. Such aqueous solutions generally contain no more than 50 percent
of the organic solvent by volume.
[0087] Injectable suspensions are compositions of the present invention including a liquid
suspending medium, with or without adjuvants, as a carrier. The suspending medium
may be, for example, aqueous polyvinylpyrrolidone, inert oils such as vegetable oils
or highly refined mineral oils, or aqueous carboxymethylcellulose. Suitable physiologically
acceptable adjuvants, if necessary to keep the complex in suspension, may be chosen
from among thickeners such as carboxymethylcellulose, polyvinylpyrrolidone, gelatin,
or alginates. Many surfactants are also useful as suspending agents, for example,
lecithin, alkylphenol, polyethylene oxide adducts, napthalenesulfonate, alkylbenzenesulfonates,
and the polyoxyethylene sorbitan esters. Many substances which effect the hydrophobicity,
density, and surface tension of the liquid suspension medium may be used in injectable
suspensions in individual cases. For example, silicone antifoams, sorbitol, and sugars
are all useful suspending agents.
[0088] The radionuclide may be formulated into vehicles for topical administration, and
such vehicles also include solutions, but may additionally include gels, lotions,
creams, or salves. Where necessary, the radionuclide may be formulated into an oral
dosage form, the types of which are too numerous to list. Essentially, there is no
limit to the method of administration, as long as the radionuclide can be effectively
delivered to the site of interest.
[0089] Actinium-225, Bismuth-213, or mixtures thereof can be incorporated into a hydrogel.
An alpha-emitting radioactive gel may be infused internally for treatment of sarcomas,
carcinomas and prostate disease, or may be used for external treatment of Kaposi's
Sarcoma, or other diseases. Actinium-225, Bismuth-213, or mixtures thereof can also
be combined with nonspecific compounds, such as styrenes, or styrene polymers, acrylic
polymers, biodegradable, or bioerodable materials such as hydrogels, or other products
that can be formed into a colloidal dispersion or particulate form and may then used
for radiation synovectomy. By incorporating releasable therapeutic drugs in a radioactive
polymer or gel, this invention also aims to provide for the optimization of post procedure
management to improve the efficacy and safety of patient treatment.
b. Administration
[0090] An "effective amount" of the formulation is used for therapy. The dose will vary
depending on the disease being treated. Although in vitro diagnostics can be performed
with the formulations of this invention, in vivo diagnostics are also contemplated
using formulations of this invention.
[0091] Although appropriate dosages may be determined by experimental trials, about 5x10
10 to 5x10
11 conjugate complexes/70kg of adult weight may be administered assuming an approximate
1:1 ratio of targeting agent to the alpha-emitter. Nevertheless, the amount and frequency
of administration will depend, of course, on many factors such as the condition of
the patient, the nature and severity of the disease, as well as the condition being
treated. In addition, it may be desirable to first mask pre-deliver the targeting
agent, without radionuclide, in order to minimize non-specific binding, and damage
to normal healthy tissues.
2. Use Linked to a Targeting Agent
[0092] Generally, it may be desirable to attach the radionuclide to a different material
in order to specifically target a part of a person's or animal's body. For example,
in order to target the radionuclide to a cancer, the radionuclide may be linked to
a material that specifically interacts with that cancer, and not with other parts
of the body. Examples of applications in which the radionuclide may be attached to
another material include treatment and diagnosis of all types of cancer, and many
other diseases.
[0093] For synthesis of labeled organic molecules, the Actinium-225 can be passed through
a cation-exchange column to remove salts and trace metals prior to labeling. It is
preferable for labeling of organic compounds, such as proteins, monoclonal antibodies,
and natural products, that the radionuclide solutions be as chemically pure as possible.
[0094] The targeting agent may be used solely to carry to the radionuclide to the site of
interest, or may have pharmacological activity of its own. For example, Actinium-225
and Bismuth-213 produced in accordance with the invention may be used in the treatment
of AML Leukemia. In this embodiment, Actinium-225 or Bismuth-213 are attached to an
anti-angiogenesis agent for adjuvant therapy. Such agents include, but are not limited
to, endostatin, angiostatin and combrestatin.
[0095] Other specific examples of targeting agents, with and without their own pharmacological
activity, are described below.
a. Targeting Agent
[0096] The radionuclides of the present invention may be carried to their destination by
attaching them to a targeting agent. Targeting agents include those agents that have
a specific affinity, for example, to a molecule, or to a subcellular structure such
as a receptor. These targeting agents carry the radionuclide to the specific destination.
Alternatively, the targeting agent could be administered first, followed by the radionuclide,
thereby catching and holding the radionuclide. The targeting agent usually holds the
radionuclide in place until the radionuclide decays. Thus, the interaction of the
targeting agent with the target usually lasts longer than the half-life of the radionuclide.
[0097] There are a number of examples of agents that may be used as targeting agents. Useful
targeting molecules include, but are not limited to, proteins and enzymes generally,
including monoclonal antibodies, prostate secretory proteins, as well as statins,
taxol, tamoxifen, taxene, and estrogen receptor modifiers. The possibilities are limitless,
and for the sake of brevity, details are provided for only a few.
i. Antibodies
[0098] Antibodies that may be linked to radionuclides of the present invention include monoclonal
and polyclonal antibodies. Monoclonal antibodies are immunoglobulins of well-defined
chemical structure, in contrast to polyclonal antibodies, which are heterogeneous
mixtures of immunoglobulins. A characteristic feature of monoclonal antibodies is
reproducibility of function and specificity, and such antibodies can be and have been
developed for a wide variety of target antigens, including tumor cells. Chimeric monoclonal
antibodies and fragments have been prepared by recombinant techniques (
Morrison, S. L., Hospital Practice (Office Edition), 65-80 (1989)).
[0100] Specific examples include antibodies that are directed against a cancer. Antibodies
raised against a known marker for a cancer may be used to target that cancer. Prostate
specific antigen is one example of an antigen that may be targeted with antibodies
raised to the antigen. In this manner the radionuclide is directed specifically to
the targeted cancer, and the radionuclide is held at the site without non-specific
distribution around the body. Other antigens that are known to be expressed by specific
cancer cells may be targeted in this manner.
[0101] This embodiment may also be used to target foreign invaders, such as fungi, bacteria,
or even viruses. Antibodies specific to these pathogens are well known in the art.
By linking the radionuclide to such an antibody, the foreign pathogen can be killed
by the radionuclide attached to the antibody that it binds.
[0102] Methods of producing antibodies are well known in the art. Such methods include,
for example, harvesting antibodies from an individual afflicted with cancer, or infected
with a foreign pathogen. After being isolated and purified, the antibody can be linked
to the radionuclide and placed back into the host. Alternatively, antibodies can be
raised against antigens in vitro, followed by isolation and purification, linking
to a radionuclide, and introduction into a patient in need of treatment.
[0103] Antibodies that have been "humanized" may also be used as targeting molecules with
radionuclides, in accordance with the present invention. Such antibodies are generally
from an animal origin, but have been modified by replacing part of their structure
with the equivalent structure from human antibodies. Antigen specificity is maintained,
while immunogenicity to the antibody itself is decreased.
ii. Other Ligands
[0104] Another use of the radionuclides of the present invention relies on a target already
present in a body, i.e., receptors. As is well known in the art, animals have many
different kinds of receptors, for which natural and synthetic ligands are known. The
examples are too numerous to list, but include examples such as steroid receptors
and opioid receptors. Both natural and synthetic ligands are known for receptors,
and by linking a radionuclide to these ligands, the receptors may be specifically
targeted. This is especially important for conditions in which these receptors need
to be targeted in a disease state.
[0105] In one embodiment, Bismuth-213, Actinium-225, or mixtures thereof can be attached
to a PSP94 prostate secretory protein and its immunogenic peptides and targeted at
prostate cancer.
[0106] As another example, receptors for regulatory peptides have been identified in a number
of different cancer cell types. Examples of such peptides include, but are not limited
to, somatostatin, vasoactive intestinal peptide, and cholecystokinin. By linking a
radionuclide to a regulatory peptide, the cancer cell may be preferentially targeted.
[0107] Alternatively, radionuclides of the present invention may be conjugated to compounds
recognized as growth factors. Like the other targeting molecules discussed above,
the growth factor is chosen because it is capable of specifically binding to a defined
population of cancer cells. Many growth factors known to one of ordinary skill in
the art may be utilized within the present invention. Representative examples include
platelet derived growth factors, transforming growth factor-beta, interleukins (ie.,
IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, or IL-9), granulocyte-macrophage colony
stimulating factor (GMCSF), erythropoietin, tumor necrosis factor, endothelial cell
growth factor, platelet basic proteins, capillary endothelial cell growth factor,
cartilage-derived growth factor, chondrosarcoma-derived growth factor, retina-derived
growth factor, hepatoma derived growth factor, bombesin, and parathyroid hormone.
Other growth factors include epidermal growth factor, transforming growth factor-alpha,
fibroblast growth factors, insulin-like growth factor I and II, and nerve growth factor.
[0108] Growth factors are generally selected for their capacity to specifically bind to
a defined population of cancer cells which include, for example, preneoplastic cells,
premetastatic cells, and tumor cells (both benign and malignant). As will be understood
by one of ordinary skill in the art, a defined population of cancer cells may generally
be differentiated from normal cells based upon the greater number of growth factor
receptors on the cell surface.
[0109] Alternatively, a radionuclide may be linked to a ligand for hormone receptors, to
target cancer cells that express such hormone receptors. Ligands that are particularly
suited for linking include hormones such as estrogens, or estrogen derivatives, androgens,
and steroids. Cholesterol and diethylstilbestrol may be used in a similar manner.
Other ligands that may be linked include drugs which are known to target such receptors.
Tamoxifen and taxene are specific examples of ligands that may be used.
[0110] Specific ligands of interest that are not believed to fall within the above-identified
categories include taxol and thalidomide.
b. Preparation - Attachment to a Targeting Agent
[0112] Because the radionuclide is generally in its molecular state, i.e., it is not covalently
bonded to another molecule, it may be necessary to join the radionuclide in some other
manner. Because the radionuclide is usually a charged metal, chelating is a good choice.
Thus, the radionuclide may be chelated in a larger molecule.
[0113] The chelator may be covalently bonded to another functional moiety, such as a targeting
agent. Thus, for example, a growth factor may be covalently bonded to a chelator,
which is used to chelate the Actinium-225 or Bismuth-213. The radionuclide is then
carried with the growth factor to its specific site in the body.
[0114] The targeting agent may be joined to the chelator in any manner, including through
the use of a linker. Generally, a linker will be covalently bonded to the chelator
on one "end" and the other "end" will have a moiety for reacting, and covalently bonding,
with a targeting agent. The chelator and linker may therefore be viewed as one molecule,
having a chelating moiety on one end, and a reactive moiety on the other.
[0115] Thus, to summarize, the radionuclide-containing composition may include 1) a chelator,
2) a linker, and/or 3) a targeting agent. In some embodiments, the chelator will act
serve the role of targeting agent, and a separate targeting agent and linker will
be unnecessary. Alternatively, a chelator may be covalently bonded directly to a targeting
molecule, eliminating the need for a separate linker. The terms "chelator," "linker,"
and "targeting agent" are conceptual terms meant to simplify the understanding of
the complex, and should not in any way be considered limiting. Thus, combinations
in which the radionuclide is chelated within the targeting agent, combinations including
multiple chelators, linkers, or targeting agents, or combinations lacking any chelator,
linker, or targeting agent, are contemplated. All that is necessary is that a radionuclide
of the present invention be included.
[0116] The radionuclide may be attached to a targeting molecule by two general procedures.
In the first, a chelator is attached to a targeting agent, generally by a linker.
The resulting conjugate then chelates the radionuclide. Alternatively, a linker may
be bonded to a chelator, which is then pre-chelated by combining it with the radionuclide.
The radionuclide/chelator/linker is then bonded to the target molecule.
i. Chelators
[0117] A variety of diverse organic macrocyclic complexing agents may be used to sequester
the alpha-emitting radionuclide including, but not limited to, the following groups:
(1) spherands, (2) cryptaspherands, (3) cryptands, (4) hemispherands, (5) corrands
(modified crown ethers), and (6) podands (acyclic hosts) (
see Cram, Science 240:760-67 (1988). In general, these macrocyclic ring compounds are large, somewhat spherical organic
compounds which resemble cage structures, and have the ability to hold a heavy radionuclide
as a ligand holds a metal ion.
[0118] The chelator should be selected such that it has both a high affinity and specificity
for the alpha-emitting radionuclide as well as a low intrinsic mammalian toxicity.
High specificity avoids displacement by other divalent cations (Mg
+2 and Ca
+2) that are prevalent in physiological fluids. Additionally, the compound should either
contain a functional group, or have chemistry which is compatible with the introduction
of an appropriate functional group, to allow attachment to the linker.
[0119] The affinity of the chelator for the alpha-emitting radionuclide is defined by the
system energetics as described by Cram (supra). More specifically, as inferred by
X-ray crystallographic data of complexed and non-complexed crown ethers, it is believed
that the solution conformations of non-complexed ethers lack well-defined cavities
with the associated convergently aligned binding sites. During the process of complexation,
the crown ether undergoes desolvation and reordering of structure, a process which
requires energy. If the chelator presents a rigid prestructured and desolvated cavity
to the ion (as is the case for spherands), the energy normally consumed by desolvation
and reorganization is reflected in a larger binding constant for the ion.
[0120] Based on this fundamental principle of reorganization, Cram lists the affinity of
hosts for their most complimentary guests as: spherands > cryptaspherands > cryptands
> hemispherands > corrands > podands. The difference in binding affinity between spherands
and podands is dramatic, for example, the binding constant of a lithium chelating
spherand was found to be 10
12 higher than its corresponding open-chain podand (
see Cram, supra). Thus, although many different chelators may be utilized within the
context of the present invention, spherands which are designed and synthesized specifically
to sequester Actinium-225 or Bismuth-213 are particularly preferred.
[0121] Particularly preferred chelators include 18-crown-6 or 21-crown-7 ethers, including
for example modified crown ethers such as dicyclohexano-21-crown-7 (
Case and McDowell, Radioact. Radiochem. 1:58 (1990);
McDowell et al., Solvent Extr. Ion Exch. 7.377 (1989); for other crown ethers or macrocyclic polyethers,
see Pedersen, Science 241:536-540 (1988);
U.S. Patent No. 4,943,375,
Eia et al.; Heterocycles 32(4):711-722 (1991);
Wai and Du, Anal. Chem. 62(21):2412-14 (1990);
Tang and Wai, Analyst (London) 114(4):451-453 (1989)). Briefly, Ac
2+ is bound by the etherate oxygen network comprising the interior cavity of the spherical
crown-ether molecule. This binding is believed to be pH dependent: Ac
2+ complexes with a combination of a proton and smaller Group IA ions for the binding
site within the crown cavity. These crown ethers may additionally be modified with
polarizable functional groups (similar to changes made with closo- and nido-carboamyl
species used in boron-neutron capture therapy), resulting in compounds with greater
solubility in aqueous media (
see generally, Mizusawa et al., Inorg. Chem. 24:1911 (1985)). Such changes improve retention of biological specificity after conjugation, and
improve the conjugate loading capability of the biological agent. These modifications
may be accomplished in tandem with the synthesis of the above-noted crown ethers under
appropriate conditions for mild conjugation to the biological delivery system.
[0122] Additional crown ethers suitable for use within the present invention may be synthesized,
or purchased from various sources including, among others, Aldrich Chemical Co. (Milwaukee,
Wis.), Fluka Chemical Corp. (Ronkonkoma, N.Y.), and Nisso Research Chemicals, (lwai
Co. Ltd., Tokyo, Japan). Chelation of the alpha-emitting radionuclide may be achieved
by mixing the chelator with a salt of the alpha-emitting radionuclide which has been
dissolved in solvent. The particular solvent chosen depends of course on the solubility
of the chelator and alpha-emitting radionuclide. For example, Cram and co-workers
prepared the sodium complex of a spherand simply by adding excess salt dissolved in
acetonitrile to a methylene chloride solution of the spherand (
see Cram and Lein, J. Am. Chem. Soc. 107:3657-3668 (1985)).
[0124] Once isolated, verification of the molecular architecture may be accomplished. Briefly,
the mode of cation binding can take two forms: (1) through external association (ie.,
anion/cation pairing without bond formation), or (2) via coordination of the cation
to the crown-ether oxygen network. Specificity and strong binding, which are preferred
for the present applications, are dependent on the latter type of association. Single
crystal X-ray diffraction techniques may be used to unambiguously assign the type
of interaction for the solid materials, and
17O,
13C and
1H-NMR may be used to determine the structures of target materials in solution.
[0125] Other chelators capable of chelating radionuclides include polyaza- and polyoxamacrocycles.
Examples of polyazamacrocyclic moieties include, but are not limited to, those derived
from compounds such at 1,4,7,10-tetraazacyclododecane-N,N',N",N"'-tetraacetic acid
(herein abbreviated as DOTA); 1,4,7,10-tetraazacyclotridecane-N,N',N",N"'-tetraacetic
acid (herein abbreviated as TRITA); 1,4,8,11-tetraazacyclotetradecane-N,N',N",N"'-tetraacetic
acid (herein abbreviated as TETA); and 1,5,9,13-tetraazacyclohexadecane-N,N',N",N"'-tetraacetic
acid (abbreviated herein abbreviated as HETA). Other chelators include linear or branched
chelating moieties including, but are not limited to, those derived from compounds
such as ethylenediaminetetraacetic acid (herein abbreviated as EDTA) and diethylenetriaminepentaacetic
acid (herein abbreviated as DTPA).
[0126] In other embodiments, a chelator may have a pharmaceutical application simply by
its chelation of the radionuclide. For example, the chelated radionuclide my result
in greater specific uptake by certain parts of the body than would be observed for
the radionuclide delivered alone.
ii. Linkers
[0127] Generally, however, the chelated radionuclide will be linked to a targeting agent.
Linking the chelated radionuclide to the targeting agents is generally a matter of
simple chemistry between reactive groups. The linker provides a covalent bridge between
the chelator and the targeting agent. Ideally, the linker does not interfere with
the ability of the chelator to sequester the radionuclide, or with the ability of
the targeting agent to properly interact with its specific target. These goals are
achieved in a variety of different ways.
[0128] When the chelating moiety is macrocyclic, the linker may be attached to any annular
atom. For example, when the chelating moiety is a polyazamacrocycle, the linker may
be attached to an annular carbon atom or an annular nitrogen atom. When the linking
moiety is attached to an annular nitrogen atom, the compound may be referred to as
an N-substituted polyazamacrocycle. Chelating moieties having carboxylic acid groups,
such as DOTA, TRITA, HETA, HEXA, EDTA, and DTPA, may be derivatized to convert one
or more carboxylic acid groups to amide groups, and thereby provide a point of attachment
to the chelator.
[0129] The other end of the linker, i.e., the end for attachment to the targeting agent,
includes a functional group that will facilitate that attachment. Functional groups
capable of covalently binding to targeting molecules include, but are not limited
to, those functional groups which can be activated by known methods, so as to be capable
of covalently binding to targeting molecule(s). For example, the formation of active
esters (-C(=O)OR, wherein R is, for example, succinimidyl) from carboxylic acids,
the formation of acid halides (-C(=O)X, wherein X is typically Cl or Br) from carboxylic
acids.
[0130] The functional group(s) present on the linker which are capable of covalently binding
to targeting agent may be chosen according to the targeting agent to which the chelating
agent will ultimately be bound. Reactive pairs of functional groups permit conjugation
of the chelating moiety with the targeting molecule, via the linker moiety, wherein
one member of the pair is present on the chelating agent and the other member of the
pair is present on the targeting molecule. For example, when the targeting molecule
is a protein possessing a free amino (-NH
2) group, a functional group such as isothiocyanate (-NCS) present on the linker permits
reaction to form a joining linkage (in this case, a thiourea linkage), thereby forming
a chelating agent-linker-targeting molecule complex. Other examples of appropriate
reactive pairs of functional groups include, for example, -NH2 with -C(=O)OR (active
ester) or with -C(=O)OC(=O)R (anhydride) or with -C(=O)X (acid halide) to yield an
amide linkage; -NH
2 with -NCO (isocyanate) to yield a urea linkage. Other reactive pairs involving -NH
2 include -NH
2 and -S(=OP)
2X (sulfonyl halide); -NH
2 and -C(=NR)OR (imidate ester); and -NH
2 and -OC(=O)X (haloformate). Examples of reactive pairs of functional groups include
-SH and -C(=O)CH
2X (haloacetyl) to yield a -SCH
2 C(=O)- linkage; -SH and -alkyl-X (alkyl halide) or -SH and -S(=O)O-alkyl (alkyl sulfonate)
to yield a thioether; and -SH and -SH (sulfhydryl) to yield a -SS- (disulfide) linkage.
[0131] The purpose of the "linker" is to attach the chelator to the targeting agent. If,
however, the chelator includes a reactive functionality to which the targeting agent
can attach, then a separate "linker" molecule may be unnecessary. For example, if
the chelator includes an isothiocyanate (-NCS), and the targeting agent includes an
amino (-NH
2), then the chelator can be attached directly to the targeting agent. Any such combination
may be used, and the need for a separate linker molecule eliminated. However, the
close proximity of the chelator to the targeting agent should not compromise the ability
of either moiety to perform its role. For example, the chelator should still be able
to effectively sequester the radionuclide, and the targeting agent should be able
to interact with its biological target. If these purposes might be compromised, a
longer linker molecule may be used.
[0132] For example, in an embodiment of the present invention in which the targeting agent
is a polymer of amino acids (e.g., peptide, polypeptide, protein, etc.), the alpha-emitting
radionuclide is positioned within a chelator, which is in turn coupled by a linker
to the amino ("N") or carboxy ("C") terminus of the targeting agent. The linker may
act to place an inert "spacer" between the biologically active targeting agent and
the alpha-emitting radionuclide containing complex. This space minimizes steric interactions
that may interfere with the targeting agent's affinity toward its target. The optimum
length of the spacer arm is primarily dependent on the affinity of the targeting agent
for its target. The higher this affinity, the smaller the relative importance of stearic
repulsion between the chelator and the target receptors. A virtually limitless number
of linkers may be selected which are suitable for use within the present invention,
and this list includes disulfides, dicarboxylic acids, polycarbon chains, and modified
polycarbon chains. Linkers may include hydrocarbon chains which range in length from
4 to 18 carbon atoms. Linkers may have six or more methylene units, such as hexamethylene
diamine.
[0133] The linker may be attached to any of a number of extraanular functionalities on the
chelator, including carboxy and amino functionalities. Within one aspect of the invention,
if the extraanular functionalization is a carboxy group, then a first synthetic step
may involve reaction of the chelator with hexamethylene diamine. Subsequent reaction
with the C-terminus of the targeting agent would complete synthesis of the conjugate.
[0134] Alternatively, as noted above, the linker may be coupled to other aspects of the
growth factor such as the N-terminus. Within this embodiment, after reaction with
hexamethylene diamine the chelator may be reacted with succinic anhydride. Subsequent
coupling of the linker to the targeting agent may then be accomplished through the
N-terminus of the targeting agent.
[0135] Alternatively, within another aspect of the present invention, the chelator may contain
an amino functionality. In these cases, a dicarboxylic acid linker (for example, octanedioic
acid) may be utilized to couple the chelator to the N-terminus of the targeting agent.
On the other hand, if the chelator is reacted with ethylene diamine after condensation
with the dicarboxylic acid, linkage to the targeting agent may be accomplished through
the C-terminus.
[0136] Specific examples of useful compounds include CHX DTPA-A and CHX DTPA-B. Methods
for making these compounds are described in
U.S. Patent Nos. 5,286,850,
5,124,471, and
5,434,287. As used herein, DTPA CHX-A and DTPA CHX-B are used synonymously with CHX DTPA-A
and CHX DTPA-B.
[0137] Additional methods for attaching radionuclides to targeting molecules are found in
WO 93/09816. Other methods are described in
U.S. Patent Nos. 4,923,985,
5,286,850,
5,124,471,
5,428,154 and
5,434,287 to Gansow et al.
c. Preparation of a Pharmaceutical Composition
[0138] The preparation of the radionuclide pharmaceutical preparation described above for
"neat" compositions applies equally to compositions in which the radionuclide is used
with a targeting agent. That information will not be repeated here.
d. Administration
[0139] An "effective amount" of the formulation is used for therapy. The dose will vary
depending on the disease being treated. Although in vitro diagnostics can be performed
with the formulations of this invention, in vivo diagnostics are also contemplated
using formulations of this invention.
[0140] Although appropriate dosages may be determined by experimental trials, about 5x10
10 to 5x10
11 conjugate complexes/70kg of adult weight may be administered assuming an approximate
1:1 ratio of targeting agent to the alpha-emitter. Nevertheless, the amount and frequency
of administration will depend, of course, on many factors such as the condition of
the patient, the nature and severity of the disease, as well as the condition being
treated. In addition, it may be desirable to first mask pre-deliver the targeting
agent, without radionuclide, in order to minimize non-specific binding, and damage
to normal healthy tissues.
3. Use Linked to a Non-Targeting Agent
[0141] In addition to linking the radionuclide to an agent which serves to target a specific
part of the body, the radionuclide may be linked to another cell toxin, to increase
the cell killing efficacy. For example, the radionuclide may be linked to an antineoplastic
agent, increasing its efficacy.
[0142] Antineoplastic agents work by the general mechanism that they are toxic to cells.
However, these drugs are taken up to a greater extent by the more rapidly growing
cancer cells. The antineoplastic effect can be made even more pronounced by linking
the antineoplastic agent to a radionuclide. Such antineoplastic agents include, but
are not limited to, vicristine, vinblastine, methotrexate, cisplatin, fluorouracil,
oxyuridine, and adriamycin.
4. Other Routes of Delivery
[0143] In addition to the routes of delivery described above, the compositions of the present
invention may also be delivered from devices and/or implants. For example, the present
compositions may be released from a battery-driven pump at a desired rate, for delivery
to a site of interest. Alternatively, the present compositions may be formulated as
extended-, prolonged-, or delayed-release formulations in polymeric vehicles.
[0144] Such formulations may be prepared as pellets or implants, which are placed into a
targeted site for delivery. Alternatively, such polymeric compositions of the present
invention could be coated onto devices such as stents or catheters for delivery to
sites of interest. Such embodiments are particularly advantageous when the disease
or lesion to be treated involves unchecked vascular proliferation, such as in restenosis.
[0145] Methods for making such polymeric formulations, and for making implants, and devices
for drug delivery, are well known in the art, and are not restated here for purposes
of brevity.
C. Examples
[0146] The following examples are presented as an illustration of one embodiment of the
present invention. These examples should not be construed as limiting the claimed
invention in any way.
Example 1: Preparing Converting Material
[0147] A milled Tungsten plate having the dimensions of 3 mm (width) x 3 mm (height) x 1
mm (thickness) is obtained. The plate is well sanded, washed with distilled water,
and dried thoroughly.
Example 2: Coating Radionuclide onto Converting Material
[0148] A Nickel-plating solution is prepared by mixing nickel chloride (40-60 g/l), nickel
sulfate (240-300 g/l), and boric acid (25-40 g/l). The pH is adjusted to approximately
3.5 to 5.0.
[0149] The Tungsten plate, prepared as described above, is then placed into the Nickel-plating
solution in an electroplating apparatus with a Platinum electrode and Nickel is electroplated
onto the Tungsten plate. Operating conditions are: temperature of 30-60°C, and current
density of 2-7 A/dm
2. Agitation is performed with air.
[0150] The resulting nickel-plated substrate is then placed into a Radium-226 dioxide plating
solution and electroplated with Radium-226. Briefly, sufficient Radium-226 is dissolved
in 8 molar NHO
3 to form a 0.1 M Radium-226 solution. Cells for electroplating are constructed according
to Krishnaswami and Sarin, (
Krishnaswami, S., and M. M. Sarin (1976), Anal. Chim. Acta, 83, 143-156). A teflon stir bar is placed in the electroplating device. Limiting values of the
power supply are set to 6 V and 0.8 A.
[0151] The device is placed on a stir plate in a fume hood. Stirring is started, and the
power supply is current limited to 0.8 A. When sufficient plating has occurred, the
plating should be terminated by disconnecting the power and adding concentrated ammonia.
The electroplated target should be rinsed with distilled water and dried before proceeding.
The Tungsten plate should be coated to a concentration of about 120 mg Radium-226/cm
2.
Example 3: Bombarding Target
[0152] The target, as prepared above, is ready for bombardment with a high-energy electron
beam.
[0153] The target is placed in the path of an electron beam in a linear accelerator operating
at 10 kW, and bombarded with high-energy electrons. The current of the electron beam
is set for about 500 microampere. The energy of the electron beam impacting the target
should be about 25 MeV. The target is bombarded for approximately 20 days, at a distance
of 50 cm from the beam source.
[0154] The theoretical production yield calculation results are given in Figure 1, where
the production activities of Radium-225 and Actinium-225 are given as a function of
irradiation time for a 1.0 gram Radium-226 target and a 25MeV electron beam. The values
shown in Figure 1 were obtained using the results shown in Table I, Figure 2, and
Figure 3. Table I and Figure 2 present the gamma flux/spectrum produced by both 20
MeV and 25 MeV electrons. Figure 3 gives the curve for the Radium-226 (gamma, n) cross-section
as a function of energy.
TABLE I |
|
GAMMA FLUX |
GAMMA FLUX |
|
20 MeV e- |
25 MeV e- |
Energy (MeV) |
Flux |
Flux |
of gamma |
gamma/cm^2/MeV/e- |
gama/cm^2/MeV/e- |
(upper bin) |
20 MeV e- |
25 MeV e- |
|
phi |
Phi |
1 |
6.92E-01 |
6.64E-01 |
2 |
2.18E-01 |
2.12E-01 |
3 |
1.13E-01 |
1.15E-01 |
4 |
7.64E-02 |
7.64E-02 |
5 |
5.30E-02 |
5.48E-02 |
6 |
3.87E-02 |
4.26E-02 |
7 |
3.01E-02 |
3.38E-02 |
8 |
2.51E-02 |
2.75E-02 |
9 |
2.17E-02 |
2.28E-02 |
10 |
1.67E-02 |
1.96E-02 |
11 |
1.52E-02 |
1.64E-02 |
12 |
1.39E-02 |
1.48E-02 |
13 |
1.10E-02 |
1.28E-02 |
14 |
8.25E-03 |
1.12E-02 |
15 |
6.20E-03 |
9.81E-03 |
16 |
5.10E-03 |
8.84E-03 |
17 |
3.05E-03 |
7.91E-03 |
18 |
2.30E-03 |
6.86E-03 |
19 |
1.30E-03 |
5.86E-03 |
20 |
3.50E-04 |
5.02E-03 |
21 |
|
3.63E-03 |
22 |
|
2.58E-03 |
23 |
|
1.93E-03 |
24 |
|
1.21E-03 |
25 |
|
3.40E-04 |
[0155] Higher specific activities can be achieved by moving the target closer to the converter,
and higher total activities can be produced by using a thick wedge of material.
[0156] Generally, electron disintegration cross sections are about 100 times smaller than
photodisintegration cross sections. Since electrons can be converted into photons
with >50% efficiency at energies of 20 MeV or higher, it is desirable to work with
the bremsstrahlung radiation. The bremsstrahlung dose rate in the forward direction
is a function of electron energy when an optimum target is used. It should be noted
that production rates in an electron accelerator do not increase much above 25 MeV
as the "giant resonance" peak for the target is near 15 MeV (See Figure 3).
Example 4: Separation and Purification of Actinium-225
[0157] The materials, including Radium-226, Radium-225, and Actinium-225, on the target,
are dissolved from the Tungsten plate by use of a solution containing equal parts
5 M NaOH and 30% H
2O
2. After the materials are dissolved from the plate, the solution is neutralized by
addition of sufficient HCl to bring the pH to about 7.
[0158] The entire solution is dried, and re-dissolved in a solution of .03 M HNO
3. The dissolved sample is passed over an LN
® resin column (Eichrom Industries, Inc., Darien, Ill.) Radium-225 and Radium-226 will
pass through with the effluent, and remaining Radium is washed from the column with
.03M HNO
3. Bound Actinium-225 is eluted from the column with .35M HNO
3.
Example 5: Preparation of Actinium-225 Composition for Administration (complexing
with targeting molecule)
[0159] The Actinium-225 in .35 M HNO
3 is passed over a cation-exchange column to separate any unwanted salts, and to purify
the radionuclide prior to complexation.
a. Preparation of BOC-p-nitro phenylalanine transcyclohexyldiamine monoamide
[0160] Dissolve the BOC acid, N-hydroxysuccinamide, and EDC (48 mmol) in ethyl acetate (400
mL). The mixture is stirred for 12 hours. The reaction solution is filtered, and the
filtrate is washed sequentially with saturated salt solution, 1M HCl, 5% NaHCO
3, and saturated salt solution (200 mL each). The organic layer is separated and dried
over MgSO
4. After filtering, the solution is rotary evaporated to a solid. The solid is taken
up in DMF (200 mL) and added dropwise to trans-1,2-diaminocyclohexane over a period
of 18 hours.
[0161] The precipitated diamide is filtered off, and the solution is rotary evaporated to
a thick oil. The residue is taken up in chloroform and washed, as above, to remove
any of the starting materials. The chloroform solution is dried as before, filtered,
and concentrated to a gel-like consistency. This material is poured onto a Buchner
funnel and triturated with petroleum ether to leave the product as a light tan solid.
b. Preparation of p-Nitrobenzyl-"CHX" diethylenetriamine
[0162] The BOC group is cleaved by stirring the amide (4.6 g) overnight in dioxane (300
mL) saturated with HCl. Addition of diethyl ether (200 mL), followed by cooling to
4°C, adds significant precipitate. The dihydrochloride is collected on a Buchner funnel
under argon and vacuum dried.
[0163] The amide dihydrochloride is suspended in THF (50 mL) in a three neck round bottom
flask held in an ice bath. The flask is fitted with a condenser, thermometer, and
a septum. Diborane/THF (6 equivalents) are injected into the flask, and the temperature
is raised to 50°C and maintained there until the reduction is complete. The progress
of the reaction is monitored by HPLC using a ten minute gradient of 100% 0.1M HOAc
in water to 100% 0.1M HOAc in methanol. The column is a Waters DeltaPak C18.
[0164] After the reaction is finished, the solution is cooled to room temperature, and methanol
(50 mL) is added to decompose any excess hydride. The solution is taken to dryness
on the rotary evaporator, and the residue is taken up in 100% ethanol (100 mL). This
solution is taken to dryness using a high vacuum rotary evaporator. Dioxane (150 mL),
previously saturated with HCl, is added to the solid and the suspension as refluxed
for four hours. The final suspension is left at 4°C for 18 hours. The product is collected
on a Buchner funnel under argon and then vacuum dried.
c. Preparation of p-Nitrobenzyl CHX DTPA
[0165] The triamine (1.0 g, 2.49 mmol) is dissolved in DMF (25 mL) with sodium carbonate
(1.992 g), and tert-butyl bromoacetate (2.915 g, 14.95 mmol) is added. The solution
is heated to about 80°C overnight under argon after which the reaction mixture is
poured into H
2O (100 mL) and extracted with CH
2Cl
2 (100 mL). The organic layer is washed with water (3 x 100 mL), separated, dried over
MgSO
4, filtered, and rotary evaporated to an oil. The oil is further concentrated to a
thick oil by high vacuum rotary evaporation.
[0166] The oil is treated with TFA (25 mL) overnight. The excess reagent is removed by rotary
evaporation. Preparative HPLC is performed to separate and collect the two major peaks.
After completion of the pre-HPLC, the HPLC buffer is removed by ionexchange chromatography
(AG50 Wx8 200/400 mesh H+ form). The two fractions are labeled as CHX-A or CHX-B.
d. Preparation of p-Aminobenzyl CHX DTPA-A, -B
[0167] Atmospheric hydrogenation of each fraction is performed using 100 mg of each nitro
compound with 10% Pd/C (100 mg) at pH 8.5. The reaction is allowed to proceed until
the H
2 uptake halts. The reaction mixture is filtered on a fine frit with Celite 577. The
filtrate is lyophilized to leave an off-white residue.
e. Preparation of p-Isothiocyanatobenzyl CHX DTPA-A, -B
[0168] Each fraction is dissolved in H
2O (5 mL) and treated with thiophosgene (20 uL) in CHCl
3 (10 mL) with maximum stirring under argon for two hours. The organic layer is removed
by room temperature rotary evaporation, and the aqueous layer is lyophilized to leave
an off-white solid.
f. Final Complexation
[0169] The reactive CHX DTPA-A (-B could be used as well) is dissolved in phosphate buffered
saline. Equal molar ratios of Actinium-225 are dissolved into the buffer solution.
Monoclonal antibody raised against prostate serum antigen is then added in an equal
molar ratio. The mixture is mixed for 4 hours at 4°C, followed by anion exchange to
remove any unbound Actinium-225.
Example 6: Administration of Actinium-225 linked to Targeting Molecule
[0170] About 5x10
10 radionuclide complexes is dissolved in a one-milliliter volume of sterile saline
solution. The solution is mixed into one liter of sterile lactated Ringers solution,
which is then administered intravenously over one-half hour.
Example 7: Production of Bismuth-213
a. Extraction
[0171] Actinium-225 from Examples 4 and 5 above is placed in a 20-ml bottle and dried. This
Actinium-225 is referred to as the "cow." A 3M anion exchange disc is pretreated with
0.5M HCl by placing the acid in a syringe, locking or attaching the disc to the syringe,
and by pushing down on the syringe plunger, forcing the acid through the membrane.
The pre-wash acid is discarded.
[0172] A volume of 10 ml of 0.5M HCl is drawn into a pipettor and ejected into into the
"cow" storage bottle, allowing the Actinium-225 to dissolve in the solution. A pre-treated
3M filter is attached to the syringe outlet with an appropriate plastic micropipette
tip attached to the outlet side of the 3M filter. Through the plastic tip, the dissolved
"cow" containing the Actinium-225 and its daughters (including Bismuth-213) is pulled
into the syringe up through the 3M anion exchange filter and up into the syringe barrel.
[0173] The plastic tip is removed, as is the Bismuth-213-loaded 3M anion exchange disc.
The Actinium-225-0.5M HCl solution is ejected from the syringe into the original bottle,
to be reused.
b. Washing
[0174] The Bismuth-213 product has now absorbed onto the 3M anion exchange disc, as has
minor traces of Actinium-225 and HCl (which adhere to the interstitial surfaces of
the resin). A new syringe is attached to the Bismuth-213-loaded anion exchange disc
and a 0.005M HCl wash solution is pulled up through the disc. The disc is then removed
and the acid wash, containing traces of interstitial "cow" solution, is expelled into
a waste bottle. The "waste" HCl is discarded.
c. Bismuth-213 Elution
[0175] A solution of 0.05M NaOAc (pH 5.5) is drawn into a new syringe. The washed Bismuth-213-loaded
3M disc is attached to the syringe, and the solution of 0.05M NaOAc (pH 5.5) is ejected
through the loaded disk and into a collection bottle.
Example 8: Preparation of Bismuth-213 Composition for Administration (complexing with
targeting molecule)
[0176] The reactive CHX DTPA-A (prepared as described in Example 5, above) is dissolved
in acetate buffer, pH 6.0. An equal molar ratio of Bismuth-213 is dissolved into the
buffer solution. Monoclonal antibody raised against prostate serum antigen is then
added in an equal molar ratio. The mixture is mixed for 4 hours at 4°C, followed by
cation exchange to remove any unbound Bismuth-213.
Example 9: Administration of Bismuth-213 linked to Targeting Molecule
[0177] About 5x10
10 radionuclide complexes is dissolved in a one-milliliter volume of sterile saline
solution. The solution is mixed into one liter of sterile lactated Ringers solution,
which is then administered intravenously over one-half hour.
[0178] In summary, this invention is a reliable method for obtaining greater than 1000-millicurie
quantities of Actinium-225/Bismuth-213 in < 5-µCi Radium-225/100 µCi Actinium-225
radionuclide purity via bombardment of Radium-226. The Actinium-225/Bismuth-213 has
physical properties that are useful for diagnostic and therapeutic radiopharmaceuticals,
particularly when used for radioimmunotherapy.
[0179] The foregoing detailed description has been given for illustration purposes only.
A wide range of changes and modifications can be made to the preferred embodiment
described above. It should therefore be understood that the following claims, including
all equivalents, define the scope of the invention.